They did not start the fire: reviewing and resolving the issue of physician stress and burnout

Babyar, Julie

doi:10.1108/jhom-11-2016-0212

Cited by 23 publications

(25 citation statements)

References 27 publications

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“…It has also been shown that physicians expected to deal with their burnout individually feel less ‘resilient’ and take more personal ownership of their burnout than physicians who receive support from their hospital through system-level changes 35 36. However, to date, interventions tested and published in the literature have been predominantly individual focused 20 22. Which type of intervention is most effective is unclear.…”

Section: Discussionmentioning

confidence: 99%

“…While research into prevalence, causes and consequences of burnout in doctors has dominated the literature over the past two decades, more recent calls to shift focus to intervention20 have yielded a number of systematic reviews of interventions to prevent and reduce work stress and burnout in the past 3 years 21–24. Common findings include poor design of evaluation studies and a concentration on secondary-level, individual-focused interventions.…”

Section: Introductionmentioning

confidence: 99%

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Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors

et al. 2019

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ObjectiveTo identify priority interventions for the prevention and reduction of work stress and burnout in hospital doctors through analysis of (1) doctors’ experiences of work stress and burnout and (2) their preferences with respect to interventions.DesignQualitative design using semistructured interviews analysed with deductive thematic analysis.SettingHospitals in Ireland.Participants32 hospital doctors (16 practising consultants and 16 doctors in training) from a range of specialties, career stages, hospital types and locations.ResultsPractical, system-focused interventions were found to be most needed. Challenges with basic entitlements, that is, accessing statutory leave, knowing in advance when leave can be taken and being adequately covered when on leave were identified as requiring urgent attention. Other priority interventions identified were the integration of psychological support in the everyday working environment, time and training for clinical line managers to perform key management activities such as debriefing and education interventions which highlight work stress risks and care pathways, teach self-care and train doctors in how to support one another.ConclusionsHospital doctors are feeling the effects of greater demand and fewer resources. What they most urgently need is adequate staffing levels, access to statutory leave and adequate cover when on leave. Doctors do not receive the support they need from their clinical line managers, who lack the skills and time to excel as people managers. Organisations should focus on developing clinical management skills across the system. The culture of medicine needs to change from stigmatisation and competitiveness to compassion and collaboration. Organisations, medical schools and professional bodies can steer this change through education.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors

et al. 2019

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“…Cynicism relates to a negative, indifferent attitude, or to an excessively detached response to different aspects of one's job and represents the interpersonal component of burnout (Hogarth, 2017). Reduced efficacy represents the self-evaluation component of burnout and relates to feelings of incompetence and a lack of performance and productivity at work (Babyar, 2017).…”

Section: Burnout In the Workplacementioning

confidence: 99%

“…Psychological symptoms of burnout include increased irritability, boredom, lack of motivation, feeling of stagnation, low self-esteem, restlessness, an inner feeling of emptiness, anxiety, despair, a feeling of futility, blunting, loss of pleasure (lust for life, work, family). Behavioral symptoms of burnout include lack of concentration, lack of ability to make decisions, self-doubt, loss of performance, tendencies toward social withdrawal, increased coffee and alcohol consumption, spending less time engaging in enjoyable or relaxing activities, irritability and anger, cynicism and dissatisfaction, procrastination, careless mistakes, absenteeism, and tardiness (see e.g., Bilban & Pšeničny, 2007;Maslach & Leiter, 2002;Babyar, 2017).…”

Section: Symptoms Of Burnoutmentioning

confidence: 99%

The Impact of Behavioral Symptoms of Burnout on Work Engagement of Older Employees: The Case of Slovenian Companies

Rožman

Treven

Cingula

2018

Naše Gospodarstvo/Our Economy

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The main objective of the paper is to determine the impact of behavioral symptoms of burnout of older employees on their work engagement in large- and mediumsized companies in Slovenia. The research is based on the implementation of a factor analysis by which we wanted to reduce the large number of variables into a smaller number of factors. With those factors, we performed a simple linear regression. Based on the results, we confirmed the hypothesis that behavioral symptoms of burnout of older employees have a statistically significant negative impact on their work engagement. Well-being of employees of varying ages in the workplace is key for long-term effectiveness of companies. From this point of view, companies should apply appropriate measures to reduce burnout as well as to contribute to employees’ well-being and better workplace performance, which is reflected in work engagement of employees.

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“…The report of a study of family doctors from 12 selected European countries published in 2008, revealed a high level of emotional exhaustion in 43% of the doctors [20]. Results of an analysis of data reveal that more than a half of the doctors employed in American hospitals meet at least one criterion of OBS [21]. In 2018, the American Psychiatric Association presented information on its website that two out of five psychiatrists have symptoms of burnout.…”

Section: Introductionmentioning

confidence: 99%

Do Polish doctors suffer from occupational burnout syndrome? An attempt to find an answer – Pilot study

Makara‐Studzińska¹,

Załuski²,

Tylec³

et al. 2019

Ann Agric Environ Med.

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Introduction and objective. A nationwide survey, carried out in Poland in 2013, showed that 42% of an examined group of doctors reported occupational burnout syndrome (OBS). The phenomenon of OBS among medical personnel shows a relationship with perceived stress scale (PSS) scores. The aim of the study was to estimate the prevalence of OBS in a group of Polish doctors, and the relationship with selected risk factors and personal resources. Materials and method. A cross-sectional study using quantitative methodology was used with the application of a questionnaire method and correlation design. Questionnaires were administered to 318 doctors (42 different specialties) working in medical facilities in Poland. All participants in the study completed two standardized questionnaires: Link Burnout Questionnaire (LBQ), Perceived Stress Scale (PSS), and responded to the questions on a proprietary questionnaire. ANOVA variance analysis and analysis of regression was performed. Results. The results of the measurement of four aspects of occupational burnout: psychophysical exhaustion (PE), commitment to relationships with patients (CP), effectiveness in performed work (EW), and existential expectations (EE), were in the medium and high levels range. Every second medical doctor who participated in the research declared a high degree of occupational burnout in each of the aspects of OBS. The high level of PSS scores, the large number of duties per month, the short work experience (years of employment) and the low number of holiday leaves, were the predictors of occupational burnout in the group of doctors taking part in the study. Conclusions. The prevalence of the signs of OBS among Polish doctors is consistent with the results of research in other countries. Failures in the interventions taken to reduce stress seem to co-exist with the severity of signs of burnout.

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They did not start the fire: reviewing and resolving the issue of physician stress and burnout

Cited by 23 publications

References 27 publications

Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors

Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors

The Impact of Behavioral Symptoms of Burnout on Work Engagement of Older Employees: The Case of Slovenian Companies

Do Polish doctors suffer from occupational burnout syndrome? An attempt to find an answer – Pilot study

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